05D0867719 CLIA NUMBER - SACRAMENTO COUNTY CORRECTIONAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D0867719
  • Facility Name: SACRAMENTO COUNTY CORRECTIONAL HEALTH SERVICES
  • Facility Address: 711 G ST STE 206
    SACRAMENTO, CA
    ZIP 95814
  • Facility Phone: 916 876-7195
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: GRANT NUGENT
  • NPI Number: 1063752350
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D0867719
LAB Type Other - COUNTY JAIL
Facility Name SACRAMENTO COUNTY CORRECTIONAL HEALTH SERVICES
Street 711 G ST STE 206
City SACRAMENTO
State CA
ZIP 95814
Phone 916 876-7195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - COUNTY JAIL
Lab Director GRANT NUGENT

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This page was last updated on: 9/29/2025